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Why might medication doses be decreased for a patient with kidney issues? - CORRECT
ANSWERS-Due to medications not being excreted through kidneys
Prerenal causes - CORRECT ANSWERS-Due to decreased blood flow to kidneys
Cardiovascular disorders, hypovolemia, peripheral vasodilation, renal vascular obstructions, severe
vasoconstriction
Intrarenal causes - CORRECT ANSWERS-Due to damage to the gumeruli, interstitial tissue or
tubules (parynchymal damage)
Acute tubular necrosis, exposure to nephrotoxins, acute GNP, SLE, obstetric complications, and
malignant hypertension
Post renal causes - CORRECT ANSWERS-Obstruction to the urine collecting system
BPH
Phases of AKI - CORRECT ANSWERS-Oliguric
Diuretic
Recovery (if not then CKD may develop)
Oliguric Phase - CORRECT ANSWERS-Urinary changes (output less than 400ml/day)
Lasts 10-14 days
Neck veins distended, bounding pulse, edema, hypertension
Increased potassium (causing heart issues!)
Diuretic Phase - CORRECT ANSWERS-Daily urine output 1-3 liters may reach 5L or more
Monitor for hyponatremia, hypokalemia, and dehydration as well as hypotension
, This phase may last 1-3 weeks
Why would calcium gluconate be given to a patient with AKI? - CORRECT ANSWERS-Due to
hyperkalemia, calcium gluconate raises the threshold at which dysrhythmias occur therefor protecting
the heart
Nursing interventions for almost all kidney patients - CORRECT ANSWERS-Fluid restriction
Daily weights
If there is abdominal pain during hemodialysis what should the nurse do? - CORRECT ANSWERS-
Decrease the flow rate
What is given to excrete potassium? - CORRECT ANSWERS-Kayexelate
What is an important thing to remember for the process of peritoneal dialysis? - CORRECT
ANSWERS-It must be completely STERILE
What is a major complication from peritoneal dialysis? - CORRECT ANSWERS-Peritonitis
If patient begins to have pain or cramping during peritoneal dialysis what should the nurse do? -
CORRECT ANSWERS-Slow down the infusion rate
At what temperature is peritoneal dialysis given? - CORRECT ANSWERS-Must be warmed to
body temperature
What medication can cause an IBS flare up? - CORRECT ANSWERS-Sulfasalazine (anti-
inflammatory medication)
Treatment goals for CKD? - CORRECT ANSWERS-Treat hyperkalemia, HTN, and mineral/bone
disease
Potassium enriched foods? - CORRECT ANSWERS-Bananas, tomatoes